Background: One of the vulnerable groups is elderly. Entering the aging process, the elderly will have a decrease a physiological disfunction which make some of non-spreadable disease appear such as hypertension. In this critical situation, a solution is needed to tackling hypertension. One of the non-pharmacological therapy that can be handle for hypertension is effleurage massage. Aim: The aim of this study is to determine the effect of effleurage technique massage on blood pressure toward elderly hypertension at Peguyangan Village. Method: This study is use a quantitative method with quasy experimental design which research design of pre-post-test control design. Sample of this study were 15 respondents in every group. This massage therapy using effleurage massage technique during 20 minutes while control group rest for 20 minutes. Technique sample is using a purposive sampling. Data analysis with Wilcoxon Rank Test with Significance level α <0,05 from the result in the treatment group shows that the p value (sig). Conclusion: The massage of effleurage technique for 20 minutes affects toward lowering blood pressure in the elderly hypertension but resting for 20 minutes has not significantly on the reducing of hypertension blood pressure in elderly.
Background: Circumcision is a surgical procedure that leaves scars and can be quite disturbing for children. This is because of the pain and limited movement that makes the child feel uncomfortable. The response to pain varies from child to child depending on the level of development or age of the child. Slow deep breathing is a conscious action to regulate deep and slow breathing which can have a relaxing effect. Relaxation therapy is widely used in everyday life to be able to overcome various problems such as stress, muscle tension, pain, respiratory problems, and others. Objective: The purpose of this study was to determine the effect of slow deep breathing complementary therapy on reducing pain intensity in children undergoing circumcision at the Marzuki Tabanan Foundation. Method : using pre-experimental method with one group pretest posttest design with purposive sampling technique. Results: From the results of the paired T-test, it was found that P value p: 0.013 <0.05, which means significant or there is an influence of Slow Deep Breathing therapy on pain intensity in children undergoing circumcision.
Background: Anxiety is a feeling of discomfort, a feeling of fear caused by anticipation of danger. The impact of anxiety is bad for mother and fetus, so it needs to do intervention for resolving the anxiety. Pregnant gymnastics is one way to reduce anxiety in pregnant women. The purpose of this study knowing the effect of pregnancy exercise on the level of anxiety in prenatal mothers in the third trimester at the RSIA Cahaya Bunda Gerokgak Tabanan.Method: The desaign used the pre-experimental design of one pretest posttest group, the research subjects were prenatal mothers in the third trimester, with non probability sampling used a purposive sampling method. The research instrument with the HARS questionnaire. Statistical tests used the Wilcoxon Test, with a confidence level of 95% and p <0.05.Results: The results of the pretest were moderate anxiety of 63.3% and severe anxiety 36.7%, after the intervention, the results of the posttest score were mild anxiety (60.0%), no anxiety (36.7%) and moderate anxiety (3.3%). The Wilcoxon analysis test results get a value of ? = 0,000 and the value of ? is smaller than ? (5%) or 0.05, it means there is a significant effect of pregnancy exercise on the level of anxiety in prenatal mothers in the third trimester.Conclusion: There was a decrease in the level of anxiety before the intervention was given and after the intervention was given, so that there was the influence of pregnancy exercise on the anxiety level of prenatal pregnant women in the third trimester. Keywords: Anxiety leve;, Pregnant gymnastic; Prenatal in the third trimester
Background: Dialysis is a method of maintaining body function in patients with Chronic Kidney Disease (CKD). Dialysis therapy causes several complications. Therefore, it needs special approach to ensure that the nursing process of CKD patients who undergoing hemodialysis goes well.Objective: To analyze a CKD case using North American Nursing Diagnosis Association-Nursing Outcome Classification-Nursing Intervention Classification (NANDA-NOC-NIC) approach.Case report: Due to dialysate inability to draw fluids, patient’s main complaint was whole-body swelling and short of breath feeling after light activity. The patient had acute breath shortness with a respiratory rate of 34 times per minute and an oxygen saturation of 80%. CPR was provided to the patient for 30 minutes, and OPA was installed. As a result of the activity, the patient's oxygen saturation rose between 85 to 90% and developed ROSC.Result: The nursing diagnoses indicated that there was excessive fluid volume and exercise intolerance. The NOC NIC criteria were used to guide the intervention, which comprised fluid management, fluid monitoring, and exercise therapy.Conclusion: There are two nursing problems in this study case, based on NANDA-NOC-NIC approach, ie.: excessive fluid volume and activity intolerance.ABSTRAKLatar belakang: Terapi dialisis merupakan cara untuk mempertahankan fungsi tubuh pada kondisi Gagal Ginjal Kronik (GGK). Terapi dialisis juga menyebabkan beberapa komplikasi, sehingga memerlukan pendekatan khusus untuk menangani, agar proses keperawatan pasien GGK yang menjalani hemodialisis berjalan dengan baik.Tujuan: menganalisis kasus gagal ginjal kronik melalui pendekatan North American Nursing Diagnosis Association-Nursing Outcome Classification-Nursing Intervention Classification (NANDA-NOC-NIC).Studi kasus: Keluhan utama bengkak seluruh tubuh dan merasa sesak nafas setelah aktivitas ringan akibat dialisat gagal menarik cairan. Pasien mengalami sesak nafas berat, RR 34x/menit, saturasi oksigen 80%. Pasien diberikan RJP selama 30 menit serta pemasangan OPA. Hasil tindakan yakni saturasi oksigen mencapai 85% hingga 90%, kemudian pasien mengalami ROSC.Hasil: Diagnosis keperawatan yang ditegakkan adalah kelebihan volume cairan dan intoleransi aktivitas. Intervensi yang diberikan pada diagnosis berdasarkan kriteria NOC NIC meliputi manajemen dan monitoring cairan, serta terapi aktivitas.Simpulan: Ada dua masalah keperawatan dalam studi kasus ini, berdasarkan pendekatan NANDA-NOC-NIC, yaitu kelebihan volume cairan dan intoleransi aktivitas.
Coronavirus Disease 2019 (COVID-19) is a new type of disease that has never been previously identified in humans. The virus that causes COVID-19 is called SarsCoV-2. Common signs and symptoms of COVID-19 infection include symptoms of acute respiratory distress such as fever, cough, and shortness of breath. The average incubation period is 5-6 days, with the most prolonged incubation period being 14 days. In severe cases of COVID-19, it can cause pneumonia, acute respiratory syndrome, kidney failure, and even death. The increase in coronavirus cases in Indonesia shows that people still do not understand the dangers of coronavirus and how to prevent it. On the streets, It can be seen that there are still people who do not use masks and heed the recommendations for maintaining a safe distance. In Dajan Peken Village, it was found that many people did not comply with health protocols, and the public tended to be at risk of contracting COVID-19 due to the lack of public awareness of using masks when gathering in public places. Currently, people rarely spray disinfectant in their home environment, and physical distancing behavior in the community is still lacking. The purpose of this activity is to provide education about preventing COVID-19 and how to wear masks correctly. The measurement results showed that most public knowledge before being given health education was in the excellent category. The majority of general knowledge after being given health education was in the high class. The results show differences in public expertise before and after providing health education to prevent COVID-19 and how to wear masks correctly.ABSTRAKCoronavirus Disease 2019 (COVID-19) adalah penyakit jenis baru yang belum pernah diidentifikasi sebelumnya pada manusia. Virus penyebab COVID-19 ini dinamakan SarsCoV-2. Tanda dan gejala umum infeksi COVID-19 antara lain gejala gangguan pernapasan akut seperti demam, batuk dan sesak napas. Masa inkubasi rata-rata 5-6 hari dengan masa inkubasi terpanjang 14 hari. Pada kasus COVID-19 yang berat dapat menyebabkan pneumonia, sindrom pernapasan akut, gagal ginjal, dan bahkan kematian. Terjadinya peningkatan kasus virus corona di Indonesia menunjukkan bahwa masih ada masyarakat yang belum memahami bahaya virus corona dan bagaimana cara pencegahannya. Hal ini terlihat di jalan-jalan masih ada masyarakat yang tidak menggunakan masker dan mengindahkan anjuran jaga jarak aman. Di Desa Dajan Peken, ditemukan banyak masyarakat yang kurang mematuhi protokol kesehatan serta masyarakat cenderung berisiko tertular COVID-19 karena kurangnya kesadaran masyarakat menggunakan masker saat berkumpul ditempat umum. Saat ini masyarakat sudah jarang menyemprotkan desinfektan dilingkungan rumah, serta perilaku physical distancing pada masyarakat masih kurang. Tujuan kegiatan ini dalam rangka memberikan edukasi tentang pencegahan COVID-19 dan cara memakai masker yang benar. Hasil pengukuran didapatkan hasil mayoritas pengetahuan masyarakat sebelum diberikan pendidikan kesehatan yaitu berada pada kategori cukup, dan mayoritas pengetahuan masyarakat setelah diberikan pendidikan kesehatan yaitu berada pada kategori tinggi. Hal ini menunjukkan bahwa ada perbedaaan pengetahuan masyarakat sebelum dan sesudah pemberian pendidikan kesehatan pencegahan COVID-19 dan cara memakai masker yang benar.
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